Kiwicare Non Medical Homecare Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KIWICARE NON MEDICAL HOMECARE AGENCY

Practice address

390 Interlocken Boulevard Suite 350
Broomfield, CO 80021

Phone

(832) 284-3908

NPI assigned

Jan 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jacqui Susan Taase

Title

Owner/Operator

Phone

(832) 284-3908

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1407627151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RONALD REAGAN BLVD APT E303",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346482",
            "telephone_number": "832-284-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 INTERLOCKEN BOULEVARD SUITE 350",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "832-284-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIWICARE NON MEDICAL HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "TAASE",
        "authorized_official_first_name": "JACQUI",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "832-284-3908",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne King, PMHNP
• Justin Michael King, M.D.
• Amy Beverly Kinsey, PA-C
• Alyssa Kirkpatrick
• Torran Christopher Kitts
• Tammron Jay Kleeman, MD
• Mary E Kliewer, PHARMD
• Gregory Alan Klob, RPH
• Laura 'Laurie' VH Knight, B.A. PSYCHOTHERAPIST
• Sara Knorr

• In Home Supportive Care Agency in Broomfield, CO
• Providers in Broomfield, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.